Provider Demographics
NPI:1841723376
Name:RAWLS, LEMUEL E II
Entity type:Individual
Prefix:MR
First Name:LEMUEL
Middle Name:E
Last Name:RAWLS
Suffix:II
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7676 HARVEST DR
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23437-9363
Mailing Address - Country:US
Mailing Address - Phone:704-778-1269
Mailing Address - Fax:
Practice Address - Street 1:7676 HARVEST DR
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23437-9363
Practice Address - Country:US
Practice Address - Phone:704-778-1269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-11
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA070104479101YM0800X
NCA12886101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health